Individual
PURA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
URB ESTANCIAS DE MEMBRILLO A9, CAMUY, PR 00627-2493
(787) 691-3188
Mailing address
PO BOX 2493, ARECIBO, PR 00613-2493
(787) 691-3188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2918
PR
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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